Patients who have implantable cardioverter defibrillators (ICD) are challenged with multiple physical, psychological, and social complications. It is important to understand ICD patients’ knowledge about safe measures post-implementation. The study aims to assess patient’s knowledge of the safe measures after implantable cardioverter defibrillator. A descriptive-analytical study was carried out from October 19th, 2022 to January 16th, 2024 to determine the patient’s knowledge about safe measures after ICD. Non-probability (purposive) sample of 70 Patients with an ICD during routine checking and programming the device in outpatient at Ibn – Al-Bitar specialized center in Baghdad city. The study instrument was composed of three par

               Background : It took less than two months for the severe acute respiratory syndrome that caused by coronavirus disease 2019 to become a palsoemic . ATP/GTP binding protein 1 (AGTPBP1) is responsible for encoding a number of proteins, including cytosolic carboxypeptidase1 (CCP1), which has been investigated in degenerative diseases also has a role in the regulation of polyglutamylation of tubulin.

Patients and methods : A 150 people participated in this study were split into three groups, The first group (G₁), served as control group included (50) subjects . Second group (G₂)

Polycystic ovary syndrome (PCOS), also known as a common polygenic endocrine condition, affects the ovaries and results in infertility and abortion. Dyslipidemia, Diabetes, hypertension, endometrial cancer, and other illnesses may all be made more likely by PCOS. Various drugs are used to treat PCOS, but they have several drawbacks and cannot effectively cure the condition. Therefore, and due to its strong antioxidant activity, anti-obesity, anti-inflammation, and other actions, the flavonoid quercetin has been proven to have health-promoting properties. The purpose of the study was to assess quercetin's impact activity in the treatment of PCOS - induced rats. A PCOS rat model was developed using testosterone.  Female albino Wistar

Idiopathic nephrotic syndrome is a common disease that affects children’s kidneys and occurs due to a specific defect in the glomeruli, which leads to the leakage of protein into urine in large quantities. Fibroblast growth factor-23 (FGF-23), produced by bone, is essential for controlling the metabolism of 1,25-dihydroxy vitamin D and phosphate, but it also requires the Klotho co-receptor to perform its function. Therefore, the purpose of this study was to evaluate whether FGF-23 can be used as a biomarker to determine the likelihood of recurrent relapse as well as to differentiate between steroid-sensitive nephrotic syndrome (SSNS) and steroid-resistant nephrotic syndrome (SRNS) treated with glucocorticosteroids. In this cross-sectio

Hepatic fibrosis is a pathophysiological outcome of sustained wound healing response to chronic liver injury charecterized by excessive accumulation of extracellular matrix proteins. Progressive liver fibrosis can be caused by chronic infection of hepatitis B or C, alcohol abuse, non-alcoholic fatty liver disease, non-alcoholic steatohepatitis, and other relatively conditions. Liver fibrosis, the subsequent cirrhosis represent a serious medical burden; yet, there is still a lack of approved methods or drugs t

Nanomicelles, a nanocarrier drug system, recently applied in medical research as a technique to deliver therapies to the targeted site. Normal nanomicelles building units are amphiphilic molecules (surfactants or polymers) containing hydrophobic tails and hydrophilic heads that self-assembled into the hydrophobic core-hydrophilic shell-like structure that dispersed into the aqueous media upon hydration. Polymeric nanomicelles had a lower critical micelle concentration by thousands of folds than surfactants of low molecular weight, resulting in a higher stability and circulation time after administration. Mixed nanomicelles have an extra advantage by improving the stability and encapsulation e

The transdermal route of drug delivery has received significant attention in pharmaceutical research due to its ability to overcome many challenges associated with oral medication administration, including the ability to bypass first-pass metabolism, ensuring a more predictable and prolonged period of action, as well as minimizing the occurrence of adverse reactions. Transferosomes are a type of ultra-deformable lipid-based vesicles, that have the potential to offer several benefits compared to the traditional lipid-based vesicles such as liposome. The major goal of this research was to prepare (for the first time) dapagliflozin-loaded transferosomes for the purpose of minimizing the potential risk of hyperglycemia associated with oral a

           Isradipine is a calcium channel blocker, it’s the drug of choice for oral therapy of severe hypertension and urgent hypertension crises in pediatrics. It belongs to the BCS class II. Its oral bioavailability will be approximately 15 to 24 %.

          This study aims to prepare a stable, low-toxic, eco-friendly, surfactant-free oral oil-in-water emulsion of Isradipine for pediatric patients and enhance dosing accuracy. Isradipine surfactants–free emulsions (SFE) were prepared to protect this ester drug from hydrolysis, oxidation, photosensitivity, increasing its solubility and absorption, thereby improving its bioavailabi

Antibody-drug conjugates (ADCs), a powerful type of pharmaceutical medications that combine immunotherapy and chemotherapy. Pemetrexed is a multitarget antifolate agent that inhibit essential enzymes involve in purine and pyrimidine synthesis, therefore serious toxicities of pemetrexed are due to lack of selectivity despite its broad antitumor activity in a wide variety of solid tumors. The aim of the study was to formulate and evaluate our prepared Atezolizumab (AtZ)-pemetrexed (Pem) conjugates as an intravenous (I.V) injectable dosage form. The characterization of the I.V formulation involved drug content, particle size, pyrogen test, sterility test, toxicity test, and stability test. The work revealed that our previously prepared

Dermatophytosis is the most common contagious fungal disease. Iraq, like the other many countries around the world, is facing an emergence of chronic, resistant and relapsing tinea infections. This study compared the efficacy, safety and the relapse rate of a combination therapeutic regimen of itraconazole and terbinafine vs. itraconazole alone in the treatment of chronic tinea infections. The research was conducted at the dermatology and venereology outpatient’s unit, Ramadi Teaching Hospital, Iraq, during the period from May 2022 to May 2023. Patients were divided equally into two groups. Group I received combination of itraconazole and terbinafine while group II was on itraconazole alone for eight weeks for each group. For assessmen

          Chronic stable angina pectoris (CSAP) is a prevalent heart disease which can be defined as a symptom or a clinical syndrome of stable coronary artery disease (CAD). CAD is usually caused by the presence of atherosclerotic plaques or blood clot within coronary arteries that may lead to ischemia. miRNA 133a is mainly expressed in the muscle and it has a role in apoptosis, angiogenesis, hypertrophy, atherosclerosis and ischemia. MR-proADM is of endothelial origin and produced by different sites in the body mainly by the heart, kidneys, lungs and adrenal medulla. MR-proADM plasma level is thought to be predictive of CAD. The aim of the current study was to detect the serum levels of micr

One of the innovative approaches to delivering drugs via topical route is nanoemulation (NE), which is easy to manufacture, stable over the long term, and has a potent solubilization property. Pimecrolimus is a low water soluble drug used to treat psoriasis, eczema, atopic dermatitis and vitiligo. This work describes the high-energy ultrasonication technique used to prepare pimecrolimus nanoemulsion. A pseudo-ternary phase diagram was created in order to determine the ideal ratios of oil-surfactant/co-surfactant mixture for the creation of nanoemulsions. Based on pimecrolimus's solubility in various oils, surfactants, and co-surfactants, Tween 80 was chosen as a surfactant, ethanol as a co-surfactant, and benzyl alcohol as an oil phase .

The term "inflammatory bowel disease" refers to a group of gastrointestinal tract inflammatory disorders that are considered idiopathic, chronic, and relapsing. The two primary disorders that comprise inflammatory bowel disease are Crohn's disease and ulcerative colitis. Infliximab, a chimeric monoclonal antibody, is a medication used to treat a number of autoimmune diseases such ulcerative colitis, Crohn’s disease, rheumatoid arthritis, and psoriasis. Therapeutic drug monitoring is a tool used in therapeutic decision-making that allows dosage modifications to be made in accordance with clinical and laboratory measures, usually blood concentrations of the drug, in order to achieve the drug exposure linked to the best res

The pigweed family, Amaranthaceae, includes Amaranthus viridis, popularly known as green amaranth. This herb grows quickly and has an annual lifespan. Traditionally, it has been used to treat anemia, eczema, bronchitis, inflammation, and leprosy. Additionally for respiratory issues, ocular conditions, and asthma.

The phytochemical analysis of Amaranthus viridis L extracts identifies the presence of several categories of biologically active substances (phytochemicals): phenolics, which include flavonoids, tannins, and phenolic acids. Alkaloids, cardiac glycosides, various classes of triterpenoids, and steroids were also found.

Numerous investigations on A. viridis have been conducted to explore i

Numerous pharmacological compounds now on the market are ineffective in treating brain disorders ,they are not getting to the brain with the concentration required to have a pharmacological effect. Since there are many barrier as blood brain barrier (BBB), P-glycoprotein (an active efflux transporter), and specific enzymatic activity are some of the mechanisms that protect the brain from harmful circumstances. These systems, in particular BBB hinder therapeutic interventions of many medications . Thus, the majority of the medicine cannot give the desired effect because they cannot penetrate the brain, so they are useless in the treatment of brain illnesses . As a result, numerous Therefore, strategies that could enhance drug delivery to

         Niosomes are bilayer vesicles formed by the self-assembly of non-ionic surfactants, they are receiving increasing attention as a potential oral drug delivery system specifically for poor soluble drugs to enhance its dissolution and ultimately its absorption and oral bioavailability. Axitinib is a tyrosine kinase inhibitor works by blocking the vascular endothelial growth factor receptors (VEGFR), decreasing the development of neovascularization which supress the tumour growth. It is classified as class 11 drug which has low bioavailability due to its poor solubility and absorption.  In this study, axitinib (AXT) capsules based niosomes formulated by thin film hydratio

Disulfiram (DSF) is a thiocarbamate derivative that has been used for the treatment of alcoholism. Researchers recently found out that DSF, a medicine authorized by the FDA to prevent alcohol consumption, has been investigated for its potential in cancer treatment. DSF, when taken by mouth, undergoes extensive metabolism in the liver, making it unsuitable for cancer treatment via oral administration. Furthermore, DSF has demonstrated the ability to enhance the cytotoxic impact of anticancer medications while preserving healthy cells. To solve the problem of instability and insufficient therapeutic efficacy, invasomal vesicles developed with better entrapment efficiency and size to serve as a carrier for the transdermal delivery of disulf